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Eden Rehab LLC

Physical Therapy Assistant in Brandon, MS · enumerated 2010 · authorized official Kenneth Riche, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558664250

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Registry record

Entity type Organization (Type 2)
Legal business name Eden Rehab LLC
Practice address 6100 Old Brandon Rd, Brandon, MS, 39042
Phone (601) 933-1100
Enumeration date Dec 19, 2010
Last updated in NPPES Dec 19, 2010

Taxonomy & classification

224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License TA1991 (MS) Secondary
224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License TA2342 (MS) Secondary
225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PTA2491 (MS) Primary
225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PTA2698 (MS) Secondary

Authorized official

Name Kenneth Riche
Title Member
Phone (601) 573-9974

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Eden Rehab LLC?
Eden Rehab LLC is registered in NPPES as a Physical Therapy Assistant (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-12-19.